A client with cognitive deficits is suicidal and antidepressants are not working. Should the client receive ECT?

Yes, if informed consent is siged by the client's guardian.

A nursing instructor is teaching about meds given prior to ECT. Which statement demonstrates student understanding?

Thiopental (Pentothal) is a short-acting anesthetic used in ECT.

A nursing instructor is teach about ECT. Which student statement indicates learning has occurred?

ECT induces a grand mal seizure.

A client scheduled for ECT at 9am eats breaksfast at 8am. How should the nurse respond?

notify the phsyician of the situation and cancel the ECT.

A nursing diagnosis is decreased cardiac output R/T vagal stimulation during ECT. Which outcome would the nurse expect?

Patient will continue adequate tissue perfusion one hour after treatment.

After the 1st ECT treatment the patient is not hungry and wants to stay in bed. How should the nurse respond?

allow the patient to remain in bed.

A client is scheduled for her first ECT treatment. What teaching should the nurse include about side effects?

You may experience some memory deficit surrounding the ECT.

A patient has a BP cuff on his lower leg during ECT. What is rationale for this?

The cuff functions to prevent succinylcholine from reaching the foot.

A client asks the nurse "Is ECT dangerous". How should the nurse respond?

There are risks, but an examination will determine your candidacy for ECT.

A nurse administers oxygen during and after ECT. What is the rationale for this?

to prevent anoxia due to medication induced paralysis of resp. muscles

ECT would improve symptoms of clients with all of the following diagnoses EXCEPT:

obsessive-compulsive anxiety disorder.

A patient wants to know where ECT will occur and how long it will take. How should the nurse respond?

Patients typially receive 6-12 treatments 3x a week in outpatient settings.

After 2 of 9 ECT treatments, a patient wants to stop due to short term memory loss. How should the nurse respond?

It is your right to stop treatments. But lets talk about your concerns.

Immediately after ECT, in which position should the nurse place the patient?

on his or her side to prevent aspiration.

During the course of ECT treatments for a suicidal pt, the nurse should continue which critical intervention?

suicide assessment must continue throughout ECT treatment.

When scheduling ECT, which client should the nurse prioritize?

A client in bed who is experiencing active suicidal ideations.

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ECT

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Questions 16

Answers

1
A client with cognitive deficits is suicidal and antidepressants are not working. Should the client receive ECT?
Yes, because antidepressants were ineffective.
Yes, because the client is suicidal.
Yes, because informed consent can be waived in this circumstance.
Yes, if informed consent is siged by the client's guardian.
2
A nursing instructor is teaching about meds given prior to ECT. Which statement demonstrates student understanding?
Succinylcholine decreases secretions to prevent aspiration.
Thiopental (Pentothal) is a short-acting anesthetic used in ECT.
Atropine is administered to paralyze skeletal muscles during ECT.
Glycopyrrolate (Robinul) prevents severe muscle contractions during seizure
3
A nursing instructor is teach about ECT. Which student statement indicates learning has occurred?
during ECT a state of euphoria is induced.
ECT induces a petit mal seizure.
during ECT a state of catatonia is induced.
ECT induces a grand mal seizure.
4
A client scheduled for ECT at 9am eats breaksfast at 8am. How should the nurse respond?
increase fluid intake to fascilitate digestion.
notify the phsyician of the situation and cancel the ECT.
allow the client to eat breakfast and reschedule ECT for 10am.
remove the breakfast tray and transport the client to the ECT prep room.
5
A nursing diagnosis is decreased cardiac output R/T vagal stimulation during ECT. Which outcome would the nurse expect?
Patient will verbalize an understanding of common side effects of ECT.
Patient will continue adequate tissue perfusion one hour after treatment.
Patient will maintain an O2 sat of 88% one hour after treatment.
Patient will verbalize the need for moving slowly after treatment.
6
After the 1st ECT treatment the patient is not hungry and wants to stay in bed. How should the nurse respond?
encourage the patient to join the milieu to promote socialization.
allow the patient to remain in bed.
obtain a physician's order for parenteral nutrition.
involve the patient in physical activity to stimulate circulation.
7
A client is scheduled for her first ECT treatment. What teaching should the nurse include about side effects?
You may experience a higher risk for subsequent seizures.
You may experience transient tangential thinking.
You may experience some memory deficit surrounding the ECT.
You may experience avolution for the remainder of the day.
8
A patient has a BP cuff on his lower leg during ECT. What is rationale for this?
The cuff is on the leg so that arms can be restrained during seizure.
The cuff functions to prevent succinylcholine from reaching the foot.
The cuff position gives a more accurate BP reading during the treatment.
The cuff was placed on the leg because both arms are used for IV fluid.
9
A client asks the nurse "Is ECT dangerous". How should the nurse respond?
There care be temporary paralysis, but full functioning returns in 3 hours.
There are risks, but an examination will determine your candidacy for ECT.
No, this treatment is side effect free.
TIA's can occur, but are rare.
10
A nurse administers oxygen during and after ECT. What is the rationale for this?
to prevention hypotension and bradycardia due to electrical stimulation
to prevent increased ICP resulting from anoxia.
to prevent anoxia due to medication induced paralysis of resp. muscles
to prevent blocked airway resulting from seizure activity
11
ECT would improve symptoms of clients with all of the following diagnoses EXCEPT:
Schizoaffective disorder.
obsessive-compulsive anxiety disorder.
major depressive disorder.
bipolar disorder- manic phase.
12
A patient wants to know where ECT will occur and how long it will take. How should the nurse respond?
Patients typically receive ECT in their hospital room daily for one month.
Patients typically receive 2-3 treatments in an outpatient setting.
Patients typially receive 6-12 treatments 3x a week in outpatient settings.
Patients tyipcally receive 10 treatments and must be inpatient.
13
After 2 of 9 ECT treatments, a patient wants to stop due to short term memory loss. How should the nurse respond?
Memory loss is a rare side effect. I don't think it should be a concern.
You'll need to talk with your doctor about what you're thinking.
It is your right to stop treatments. But lets talk about your concerns.
After you begin a cousre of ECT treatments, you must complete all of them.
14
Immediately after ECT, in which position should the nurse place the patient?
in semi-Fowler's position to promote oxygenation.
in Trendelleberg's position to promote blood flow to vital organs.
on his or her side to prevent aspiration.
in prone position to prevent airway blockage.
15
During the course of ECT treatments for a suicidal pt, the nurse should continue which critical intervention?
Discourage expressions of hopelessness throughout ECT treatment.
suicide assessment must continue throughout ECT treatment.
encourage high caloric diet throughout ECT treatment.
antidepressents are contraindicated throughout ECT treatment.
16
When scheduling ECT, which client should the nurse prioritize?
A client in bed who is experiencing active suicidal ideations.
A client with an irritable mood and exhibiting angry outbursts.
A client experiencing command hallucinations and delusions of reference.
A client experiencing manic episodes of bipolar disorder.

ECT Flashcards | StudBud

ECT

16 termsStudBud Administration15 plays

Imported from external platform

Flashcards16 cardsFPractice quizPHost liveL

Questions 16

Answers

1
A client with cognitive deficits is suicidal and antidepressants are not working. Should the client receive ECT?
Yes, because antidepressants were ineffective.
Yes, because the client is suicidal.
Yes, because informed consent can be waived in this circumstance.
Yes, if informed consent is siged by the client's guardian.
2
A nursing instructor is teaching about meds given prior to ECT. Which statement demonstrates student understanding?
Succinylcholine decreases secretions to prevent aspiration.
Thiopental (Pentothal) is a short-acting anesthetic used in ECT.
Atropine is administered to paralyze skeletal muscles during ECT.
Glycopyrrolate (Robinul) prevents severe muscle contractions during seizure
3
A nursing instructor is teach about ECT. Which student statement indicates learning has occurred?
during ECT a state of euphoria is induced.
ECT induces a petit mal seizure.
during ECT a state of catatonia is induced.
ECT induces a grand mal seizure.
4
A client scheduled for ECT at 9am eats breaksfast at 8am. How should the nurse respond?
increase fluid intake to fascilitate digestion.
notify the phsyician of the situation and cancel the ECT.
allow the client to eat breakfast and reschedule ECT for 10am.
remove the breakfast tray and transport the client to the ECT prep room.
5
A nursing diagnosis is decreased cardiac output R/T vagal stimulation during ECT. Which outcome would the nurse expect?
Patient will verbalize an understanding of common side effects of ECT.
Patient will continue adequate tissue perfusion one hour after treatment.
Patient will maintain an O2 sat of 88% one hour after treatment.
Patient will verbalize the need for moving slowly after treatment.
6
After the 1st ECT treatment the patient is not hungry and wants to stay in bed. How should the nurse respond?
encourage the patient to join the milieu to promote socialization.
allow the patient to remain in bed.
obtain a physician's order for parenteral nutrition.
involve the patient in physical activity to stimulate circulation.
7
A client is scheduled for her first ECT treatment. What teaching should the nurse include about side effects?
You may experience a higher risk for subsequent seizures.
You may experience transient tangential thinking.
You may experience some memory deficit surrounding the ECT.
You may experience avolution for the remainder of the day.
8
A patient has a BP cuff on his lower leg during ECT. What is rationale for this?
The cuff is on the leg so that arms can be restrained during seizure.
The cuff functions to prevent succinylcholine from reaching the foot.
The cuff position gives a more accurate BP reading during the treatment.
The cuff was placed on the leg because both arms are used for IV fluid.
9
A client asks the nurse "Is ECT dangerous". How should the nurse respond?
There care be temporary paralysis, but full functioning returns in 3 hours.
There are risks, but an examination will determine your candidacy for ECT.
No, this treatment is side effect free.
TIA's can occur, but are rare.
10
A nurse administers oxygen during and after ECT. What is the rationale for this?
to prevention hypotension and bradycardia due to electrical stimulation
to prevent increased ICP resulting from anoxia.
to prevent anoxia due to medication induced paralysis of resp. muscles
to prevent blocked airway resulting from seizure activity
11
ECT would improve symptoms of clients with all of the following diagnoses EXCEPT:
Schizoaffective disorder.
obsessive-compulsive anxiety disorder.
major depressive disorder.
bipolar disorder- manic phase.
12
A patient wants to know where ECT will occur and how long it will take. How should the nurse respond?
Patients typically receive ECT in their hospital room daily for one month.
Patients typically receive 2-3 treatments in an outpatient setting.
Patients typially receive 6-12 treatments 3x a week in outpatient settings.
Patients tyipcally receive 10 treatments and must be inpatient.
13
After 2 of 9 ECT treatments, a patient wants to stop due to short term memory loss. How should the nurse respond?
Memory loss is a rare side effect. I don't think it should be a concern.
You'll need to talk with your doctor about what you're thinking.
It is your right to stop treatments. But lets talk about your concerns.
After you begin a cousre of ECT treatments, you must complete all of them.
14
Immediately after ECT, in which position should the nurse place the patient?
in semi-Fowler's position to promote oxygenation.
in Trendelleberg's position to promote blood flow to vital organs.
on his or her side to prevent aspiration.
in prone position to prevent airway blockage.
15
During the course of ECT treatments for a suicidal pt, the nurse should continue which critical intervention?
Discourage expressions of hopelessness throughout ECT treatment.
suicide assessment must continue throughout ECT treatment.
encourage high caloric diet throughout ECT treatment.
antidepressents are contraindicated throughout ECT treatment.
16
When scheduling ECT, which client should the nurse prioritize?
A client in bed who is experiencing active suicidal ideations.
A client with an irritable mood and exhibiting angry outbursts.
A client experiencing command hallucinations and delusions of reference.
A client experiencing manic episodes of bipolar disorder.